Northdale Dentist Pa

LBN: Northdale Dentist Pa
Northdale Dentist Pa is an health care organization with primary practice located at 2147, Northdale Blvd Nw. , Coon Rapids MN 55433. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Northdale Dentist Pa can be contacted via phone (763) 497-6977, or through Ramakrishnan, Jagannatian via phone (763) 218-2887.

Contact Information

Primary practice address
2147, Northdale Blvd Nw. Coon Rapids MN 55433
Phone: (763) 497-6977
Fax: (763) 463-7807
Website:
Map and Directions
Authorized official contact:
Name: Ramakrishnan, Jagannatian B.D.S.
Phone: (763) 218-2887

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D12003 Minnesota

Profile Details

NPI number 1619287562
LBN Legal business name Northdale Dentist Pa
DBA Doing business as
Authorized official Ramakrishnan, Jagannatian B.D.S.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2010
Last updated Oct 13th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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